Page 64 - FGLN SC Onboarding Binder 2021
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 Flint & Genesee Literacy Network Steering Committee Member Profile Form
Name: _____________________________________________ Date: _____________________
Organization & Title: ________________________________________________________________________________
Work Address: ________________________________________________________________________________
Home Address: ________________________________________________________________________________
Work Phone: _________________________ Home Phone: ___________________________ Cell Phone: ___________________________ E-Mail: _________________________________ Please list any food allergies and/or dietary restrictions:
 ________________________________________________________________________________
Prior experience with FGLN, if any (such as action teams served on, etc.): ________________________________________________________________________________
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Other community engagement areas (professional or personal):
________________________________________________________________________________
________________________________________________________________________________
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Personal or professional experience related to literacy: ________________________________________________________________________________
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